0001209191-12-018094.txt : 20120314 0001209191-12-018094.hdr.sgml : 20120314 20120314091139 ACCESSION NUMBER: 0001209191-12-018094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120313 FILED AS OF DATE: 20120314 DATE AS OF CHANGE: 20120314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERR HENRY D CENTRAL INDEX KEY: 0000903096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 12688995 MAIL ADDRESS: STREET 1: ONE BURTON HILLS BLVD CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-03-13 0 0000895930 AMSURG CORP AMSG 0000903096 HERR HENRY D 2490 CLIFFTOPS AVENUE MONTEAGLE TN 37356 1 0 0 0 Common stock 2012-03-13 4 G 0 5000 0.00 D 103758 D /s/ Henry D. Herr 2012-03-13